MEDICARE: DR. JENNIFER B. COX M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080A0000X	Pediatric Adolescent Medicine Physician	D0063318	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	M58341	OTHER	MD	CDS

General Provider Information

NPI Number	:	1609843242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER B. COX M.D.

Provider Business Mailing Address
First Line	:	4C NORTH AVE
Second Line	:	SUITE 400
City	:	BEL AIR
State	:	MD
Zip	:	21014-2330
Country	:	US
Telephone Number	:	410-638-0239
Fax Number	:	410-638-0282

Provider Business Practice Location Address
First Line	:	4C NORTH AVE
Second Line	:	SUITE 400
City	:	BEL AIR
State	:	MD
Zip	:	21014-2330
Country	:	US
Telephone Number	:	410-638-0239
Fax Number	:	410-638-0282

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2006
Last Update Date	:	03/07/2023

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